摘要
目的对比胃癌患者术前胃镜活检病理与胃癌根治术后病理结果。方法选择2018的10月—2019年10月该院82例行胃癌根治术的患者作为研究对象。该组术前行胃镜活检,并与术后病理结果对比诊断一致性、病理类型(黏液腺癌、管状腺癌、印戒细胞癌、乳头状腺癌)与分化程度(分化不良型分化型)。结果该组术前胃镜活检对胃癌的诊断率100.00%与病理检查的100.00%对比差异无统计学意义(χ^2=0.000,P=1.000)。该组术前胃镜活检黏液腺癌、印戒细胞癌的发生率为43.90%、43.90%高于术后病理的28.05%、28.05%,对比差异有统计学意义(χ^2=4.474、4.474,P=0.034、0.034);管状腺癌、乳头状腺癌的发生率8.54%、3.66%低于手术后病理的26.83%、17.07%,对比差异有统计学意义(χ^2=9.425、7.941,P=0.000、0.005)。该组术前胃镜活检分化型发生率为42.68%低于术后病理的58.54%,对比差异有统计学意义(χ^2=4.123,P=0.042),分化不良型发生率为57.32%高于术后病理的41.46%,对比差异有统计学意义(χ^2=4.123,P=0.042)。结论术前胃镜活检在胃癌患者诊断中具有重要的作用,但在病理类型与分化程度诊断上仍存在异同性,所以胃镜活检可作为术前诊断参考,而术后病理结果更利于对胃癌患者病情的全面评估。
Objective To compare the preoperative gastroscopy biopsy pathology with gastric cancer postoperative pathological results in patients with gastric cancer.Methods From October 2018 to October 2019,82 patients in the hospital who underwent radical gastrectomy were selected as the research subjects.The gastroscope biopsy was performed before operation in this group,and the diagnosis was consistent with the postoperative pathological results,the pathological type(mucinous adenocarcinoma,tubular adenocarcinoma,signet ring cell carcinoma,papillary adenocarcinoma)and the degree of differentiation(differentiated differentiation type).Results The diagnostic rate of preoperative gastroscopy biopsy for gastric cancer in this group was 100.00%and that of pathological examination was not statistically significantly different(χ^2=0.000,P=1.000).The incidence of preoperative gastroscopy biopsy of mucinous adenocarcinoma and signet ring cell carcinoma in this group was 43.90%,43.90%higher than the postoperative pathology 28.05%and 28.05%,and the difference was statistically significant(χ^2=4.474,4.474,P=0.034,0.034);the incidence of tubular adenocarcinoma and papillary adenocarcinoma 8.54%,3.66%,lower than the postoperative pathology of 26.83%,17.07%,the contrast difference was statistically significant(χ^2=9.425,7.941,P=0.000,0.005).The prevalence of differentiated type of gastroscope biopsy before operation in this group was 42.68%lower than that of postoperative pathology of 58.54%,the contrast difference was statistically significant(χ^2=4.123,P=0.042),and the incidence of poorly differentiated type was 57.32%higher than postoperative 41.46%of the pathology,the contrast difference was statistically significant(χ^2=4.123,P=0.042).Conclusion Preoperative gastroscopic biopsy plays an important role in the diagnosis of gastric cancer patients,but there are still dissimilarities in the diagnosis of pathological type and degree of differentiation,so gastroscopic biopsy can be used as a reference for preoperative diagnosis,while postoperative pathological results are more conducive to the comprehensive assessment of gastric cancer patients’conditions.
作者
张跃
ZHANG Yue(Department of Pathology,Shanghe County People's Hospital,Shanghe,Shandong Province,261600 China)
出处
《世界复合医学》
2020年第6期116-118,共3页
World Journal of Complex Medicine
关键词
胃癌
术前
胃镜活检病理
胃癌根治术
病理结果
Gastric cancer
Preoperative
Gastroscopy biopsy pathology
Radical gastrectomy
Pathological results
